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Page THE HERALD OUTLOOK Saturday October Cold accentuates arterial spasm DR GOTT DEAR GOTT I a year old female with Raynaud s disease I been to many doctors as well as two vascular surgeons and they haven t come up with any real reason for my symptoms My weight has de creased from to 135 pounds about one year Is this related I ve been to so many doctors I m rustrat and ready to give up DEAR READER Marked arterial spasm of unknown cause associated with disruption of circulation is called Raynaud s disease The spasm occurs in cyclical attacks affecting the fingers and toes and occasion ally the nose and tongue It may last for minutes or hours during which the involved tissue is deprived of oxygen this can result pronounced skin changes tightness shimness ulcer over the digits possibly pro gressing to gangrene Patients with Raynaud s disease must protect themselves against cold avoid smoking and be cautious of cer tain medications such as beta blockers because all three factors centuate arterial spasm Raynaud disease is treated with drugs such as prazosin and calcium channel blockers that relax spasm In severe cases sympathectomy to sever nerves to the arteries may be necessary I am concerned that you may have an underlying disorder causing spasm Raynaud s phenomenon is secondary to a number of diseases such as rheumatoid arthritis sclero derma a disease of the body tive tissue and lupus erythematosus It s important to distinguish between Raynaud s disease and Raynaud s phenomenon because treatment of the latter condition involves therapy for the underlying disorder If your doctors are convinced that you have the disease and not the phe nomenon you are a candidate for va sodilator drug therapy or sympathec tomy Weight loss is not usually a symptom of Raynaud disease but it can be a symptom of some of the dis eases that the phenomenon Don give up Request a referral to a vascular laboratory at a teaching where super specialists may be able to discover a cause for your problem and suggest treatment Because lupus is a common cause of Raynaud phenomenon I am send you a free copy of my Health Re port Lupus The Great Imitator DEAR GOTT I have a salty taste in my mouth at all times The use of commercial toothpaste and mouthwash makes it worse Three different doctors have laughed off my condition Does this indicate a certain malady DEAR READER A salty taste of ten indicates dental infection Check with your dentist to make sure the source of your problem t a tooth abscess that can be easily treated DEAR DR Since returning from Mexico recently I experi an inordinate amount of comfort and extreme flatulence in minutes of eating that lasts until a A barium enema and moidoscopy diagnosed me with ble colon but no medication has been prescribed other than antacids Can you help DEAR READER You need meticu lous stool analyses including fecal cultures to see if you brought home more than happy memories from Mexico In my experience healthy patients who develop bowel symp toms after traveling to Mexico and other points south of the border most always have picked up intestinal infections Such infections are caused by a va of diseaseproducing bacteria as well as by parasites Although your distress and gas could result from a common condition such as irritable colon I want to make sure that a treatable infection is not present Ask your doctor to order the appropriate tests To give you more information I am sending you a free copy of my Health Report Irritable Bowel Syndrome DEAR GOTT For the past six months I ve suffered facial pain on both sides of my face It began after I had impacted wisdom teeth extract I was then treated by a neurologist for inflamed nerves but there was no relief Where do I go from here DEAR READER Facial pain has many causes ranging from neuralgia pain from nerve irritation and tu mors to arthritis and infection Dental infection and impacted teeth are com mon causes of facial pain and from your description 1 bet that your problem Return to your dentist or request the services of an oral You need a careful dental exam with rays and perhaps a course of antibiotics DEAR GOTT trying to find out about self administered nerve blocks for relief of chronic pain How many hours of relief can one expect from such injections Where does a person buy the sary equipment DEAR READER Don t do it Nerve blocks are tricky and unless performed by an who is familiar with the technique can result in nerve damage infection or other serious consequences Cancer can be beaten give Q IMPROVINGYOURODDS AGAINST MONTREAL TRUST 4562333 GEORGETOWN ATTACHED ONLY BY THE GARAGE Bright spacious two storey has large kitchen with separate dining area four bedrooms and two baths large rec room Newly decorated In neutral colours New ceramics on main level Must be seen 212 ALBERTO Dl MARIO Sales Rep Res 4500479 JOYCE RYE Sales Rep Res 8776280 4562333 2 Mill Street East Acton 519 8532086 LINE 416 9101 BARBARA GLENN Res 1 519 FAX ALEX GLENN Res 1 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